Active NPI
Kayla Owata, DPT
- Physical Therapist
- Lebanon, TN
National Provider Identifier
1124566468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15274
- Practice address
- 920 S Hartmann Dr Ste 330
Lebanon, TN 37090-4136 - Phone
- (615) 547-6488
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305210888 | VA | |
| Physical Therapist | 225100000X | 15274 | TN | Primary |
Addresses
Primary practice location
920 S Hartmann Dr Ste 330
Lebanon, TN 37090-4136
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389
Other practice location 1
121 Bear Xing Ste 300
MT Juliet, TN 37122-4306
Phone (615) 885-0200
Other practice location 2
5651 Frist Blvd Ste 200
Hermitage, TN 37076-2056
Phone (615) 885-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05954 | Other | VA | GROUP MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Results-Ast JV LLC
Practice addresses (Care Compare)
920 S Hartmann Dr
Suite 330
Lebanon, TN 37090-4136
Phone (615) 547-6488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15274 | TN | MD | Physical Therapist |
| 2305210888 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family YMCA, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Martinsville, VA
- NPI 1841270790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1124566468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-702-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S HARTMANN DR STE 330",
"city": "LEBANON",
"state": "TN",
"postal_code": "370904136",
"telephone_number": "615-547-6488"
}
],
"practiceLocations": [
{
"address_1": "121 Bear Xing Ste 300",
"address_purpose": "LOCATION",
"city": "MT Juliet",
"state": "TN",
"postal_code": "371224306",
"country_code": "US",
"telephone_number": "615-885-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5651 Frist Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "TN",
"postal_code": "370762056",
"country_code": "US",
"telephone_number": "615-885-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWATA",
"first_name": "KAYLA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210888",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "15274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "C05954",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.